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General NPI Number Information
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NPI Number | 1780908335
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Entity Type | Individual
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Provider Name | JULIAN HARDMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 7130 SMOKE RANCH RD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89128
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Country | US
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Telephone | 877-406-2916
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Fax | 864-797-6389
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Provider Business Mailing Address
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Address Line | PO BOX 50709
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City | HENDERSON
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State | NV
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Zip | 89016-0709
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Country | US
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Telephone | 877-406-2916
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Fax | 864-797-6389
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17770
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License Number State | NV
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